| NPI | 1003049875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY A. SEYER Owner 314-830-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 2002000301) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |